Jordan Kenneth Marshall, MD - Medicare General Practice in East Saint Louis, IL

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Jordan Kenneth Marshall, MD is a medicare enrolled "Emergency Medicine" physician in East Saint Louis, Illinois. He went to Howard University College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Midwest Emergency Sparta, Inc., Touchette Regional Hospital Inc and his current practice location is 2001 State St, East Saint Louis, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 271-0204.

Jordan Kenneth Marshall is licensed to practice in Illinois (license number 036160684) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396188025.

Contact Information

Jordan Kenneth Marshall, MD
2001 State St,
East Saint Louis, IL 62205-1803
(618) 271-0204
Not Available

Map and Direction




Physician's Profile

Full NameJordan Kenneth Marshall
GenderMale
SpecialityGeneral Practice
Experience11 Years
Location2001 State St, East Saint Louis, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Kenneth Marshall attended and graduated from Howard University College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1396188025
  • Provider Enumeration Date: 04/11/2013
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658509260
  • Enrollment ID: I20220711002792

Medical Identifiers

Medical identifiers for Jordan Kenneth Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396188025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0100XPreventive Medicine - Aerospace Medicine 0101257159 (Virginia)Secondary
208D00000XGeneral Practice 0101257159 (Virginia)Secondary
207P00000XEmergency Medicine 036160684 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Anderson HospitalMaryville, ILHospital
Sparta Community HospitalSparta, ILHospital
Touchette Regional Hospital IncCentreville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Emergency Sparta, Inc.034548125512
Touchette Regional Hospital Inc741684337047

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Kenneth Marshall allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Healthcare Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641
Entity NameTouchette Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922019926
PECOS PAC ID: 7416843370
Enrollment ID: O20040226000538
Entity NameMidwest Emergency Sparta, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194162370
PECOS PAC ID: 0345481255
Enrollment ID: O20130718000343
Entity NameMidwest Emergency Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357
Entity NameMidwest Inpatient Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Kenneth Marshall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Kenneth Marshall, MD
7383 Hazel Ave,
Maplewood, MO 63143-3223

Ph: (907) 482-3613		Jordan Kenneth Marshall, MD
2001 State St,
East Saint Louis, IL 62205-1803

Ph: (618) 271-0204

Reviews and Comments


Emergency Medicine Doctors in East Saint Louis, IL

Chennaiah Nadindla, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5900 Bond Ave, East Saint Louis, IL 62207
Phone: 618-332-5212    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.